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813-780-0020 City of Zephyrhi(s Permit Application Fax 813.784�21 <br /> Building Department <br /> Data Received <br /> v- <br /> owneOwner's Name Zr-' writ' I r Phone Humber <br /> Owner's Address owner Phone Number <br /> Fee Simple Irttleholdir Name owner phene <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J La'. '.71- LOTO <br /> SUBDIVISION EL IDO JOBTAPIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED i e NEW COfSTR r7 ADDIALT SIGN M r7 DEMOLISH <br /> INSTALL F J REPAIR <br /> PROPOSED USE SFR Cl M%A" <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK \Jcc <br /> BUILDING SIZE SQ FOOTAGE1 "EIGHT <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRCAL AMP SERVICE PROGRESS ENERGY 0 W.R,E-C. <br /> &ZIP'LUMBING <br /> =MECHAMCAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> But,DER COMPANY <br /> SIGNATURE L REGISTERED I YIN FEE C—U—R—Re—N <br /> Address License lt <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN L_LLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> L _IJ SIGNATURE Q I L "' FEE CURREN <br /> Address E GchrA Ucense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGrsTEREo Y/N FESCURREN <br /> Address License it <br /> OTHER COMPANY [ <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address tLicense <br /> RESIDENTIAL Attach CZ)viot mans,fz)sets or uutiong mans;it)set of energy l-orms;K-O-Vv vermit ter new construction, <br /> Minimum ton(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster,site work Permit for subdivisionstlarge projects <br /> COMMERCIAL Aftach'(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum tan 00)working days after submittal date. Required onsite,Construct on Plans,Stormwater Plans wl$0t Fence Installed, <br /> San?:Oy Facilities&I dumpster.Site Work Permit for all new projects.AJI commercial requirements must meet compliance <br /> SION PERMIT Attach-(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> olfthlttl a I <br /> ;:it,oLft 2ppHoation c--mige—ta"J. <br /> Owner&Contractor gIgn back of application,notarized <br /> if over$2500,a Natl�Feof(tommencemorrtls required. (AJC upgrades over$7500) <br /> Agent(for the contme I lot)or Power of Attorney(for the owner)would be someone with notarized loner from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over&unter if on public roadways..needs ROW <br />